Carondelet Physician Services Inc. | |
220 Nw Rd Mize Rd Suite 101 Blue Springs MO 64014-2527 | |
(816) 228-9841 | |
(816) 228-1514 |
Full Name | Carondelet Physician Services Inc. |
---|---|
Speciality | Internal Medicine |
Location | 220 Nw Rd Mize Rd, Blue Springs, Missouri |
Authorized Official Name and Position | Steven R Cleary (CFO) |
Authorized Official Contact | 8169432819 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carondelet Physician Services Inc. 801 Nw Saint Mary Dr Suite 230 Blue Springs MO 64014-2524 Ph: (816) 655-5792 | Carondelet Physician Services Inc. 220 Nw Rd Mize Rd Suite 101 Blue Springs MO 64014-2527 Ph: (816) 228-9841 |
NPI Number | 1063693232 |
---|---|
Provider Enumeration Date | 11/16/2007 |
Last Update Date | 05/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063693232 | NPI | - | NPPES |
200640420A | Medicaid | KS | |
39532013 | Other | BLUE CROSS BLUE SHIELD | |
501269500 | Medicaid | MO |
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